Space for
your heart
in a world
full of chaos
Mental, Spiritual and Emotional Care
for LGBTQIA2S+
Adults, Families and Those Who
Love Us
photos courtesy of www.homemadefamilyalbum.com
"Are you ready to find beauty in the parts of yourself that you've marked for dead? [...] what I promise you is that the world will be so much more beautiful. [...]
It's the kind of unruly, feral beauty. It's a kind of beauty that seeps into your pores and in between your toes and leaves stains and smudges and sand on the ground. It's a beauty that recognizes that this is where we belonged all along."
- Alok Vaid-Menon
less stress, more joy
Life is hard and the social, political and environmental conditions of our world are terrifying. Whether you’re too anxious to be fully present, feeling isolated, or worried about the future- you're not alone. The mental and emotional energy it takes to live these days can feel enormous. I'll help you find resilience and relief. Let’s air out the stress and help you feel more joy, pleasure, purpose and connection during these hard times.
Do you feel overwhelmed? Losing legal protections, facing discriminatory policies, and navigating a cis, straight world can create pressure that makes it harder to enjoy life and connect with loved ones. I can help you ease tension and remember what matters to you so that you can have the beautiful and love-filled life you deserve- and take action for what you care about.
less panic, more purpose
You’re tired of feeling tense and down. Worry, conflict, physical pain, depression, anxiety, overwhelm, and stress- life feels hard and you wish you could find the beauty, magic and sweetness amidst it all.
Can you imagine being able to savor your life more fully? Waking up in the morning with gratitude to be alive and maybe even a little feeling of excitement creeping in? Finding moments of pleasure and awe throughout the day, even in the face of these horrors?
I will support you to feel more fully, shift stuckness, surrender to what is, and move towards what you long for- all with warmth and humor along the way. Together, we can help you and your loved ones thrive.
less tension, more beauty
Perinatal and Postpartum Mental Health
Challenges trying to conceive, infertility, grief, loss, mental health struggles, resisting isolation, raising well children in an unwell world
An Unstable World
Hostile political climate, climate concerns, activism, burnout, anxiety, depression, healing ancestral trauma, claiming ancestral gifts, building community to rely on
Becoming your Full Self
Body image challenges, dysphoria, identity, values, connecting with pleasure, healing shame and trauma,
gender, sexuality, fat liberation, neurodivergence
Relationships
Isolation, community, unsupportive family, conflict, parenting styles, divorce, polyamory and polycules, cisgender parents of trans youth or adults
Parenting while Struggling
Parenting while neurodivergent, mental health struggles, major life transitions, work stress, grief, rage, immigration, the impact of global events on you and your loved ones
Supporting your Kids
Allying with neurodivergent and/ or gender expansive kids, behavioral challenges, acting out, bullying, self-esteem, struggles functioning, creating a culture of acceptance
Services
There are several ways I can support you, depending on what you need.
Individual Therapy
Using Somatics, Expressive Arts Therapy, and Narrative Therapy, along with other evidence-based modalities, we will work together to help you reach your goals, cope with stress, enjoy life more fully, live in your power, and find relief.
Relationship Therapy
I work with you and your family, child, partner(s), or close friend(s) to support you to deepen intimacy, understand one another, repair conflict, lessen distance, set boundaries, find play and pleasure, and strengthen your relationship(s).
Coaching
I offer tangible strategies to help kids with big behaviors, sensory needs, new diagnoses, learning challenges, gender exploration and life transitions.
I also work with cisgender parents of transgender youth or adults to help them learn about pronouns, medical transition, legal challenges, and allyship.
Modalities
I use these approaches to support you to heal trauma and move towards what you long for.
Expressive Arts Therapy
Working creatively in therapy can be meaningful, effective and powerful for people of all ages. Whether you would like to use the arts in therapy is up to you.
Somatics
Somatics describes a range of approaches to engage in healing and transformation work that engage the whole person: mind, body and spirit.
My work is rooted in the lineage of Generative Somatics, a politicized school of Somatics.
Feminist Narrative Therapy
Feminist Narrative Therapy addresses how social and cultural contexts influence our experiences and identities. We can understand how dominant narratives impact our lives and co-create new, more meaningful narratives.
Former client,
young adult
"Working with Noa was the beginning of my conscious healing process as an adult and I will forever be grateful for her love, honesty, care, and ease with talking about difficult things.
She supports and uplifts those around her towards collective healing and liberation. She is truly a gift and blessing to everyone she comes in contact with."
Former Clinical Supervisor,
Psychotherapist
"Noa consistently blows me away with her keen sense of compassion for clients, her diagnostic acumen, and her calm, warm demeanor even when navigating difficult clinical situations.
Noa consistently creates a safe and affirming environment with her clients, providing them a sense of being deeply cared for.
Woven throughout her practice is an uplifting of systems-lens social justice in a way that feels utterly organic, as a result of decades of personal work on Noa's part. "
Former colleague,
Psychotherapist
"It is hard to speak about Noa Grayevsky without using superlatives. This human being is, without question, among the most considerate, compassionate, and skillful clinicians I've ever met.
Noa's work with clients has been praised by our superiors as "life saving," and I believe that wholeheartedly."
I am a Licensed Marriage and Family Therapist, Clinical Supervisor, and Coach living in Portland, Oregon on the unceded territories of the Clackamas, Kalapuya and Cowlitz tribes.
I have been working in the field since 2012 with a commitment to social justice, anti-racism and anti-oppression in my practice of psychotherapy. I work with a deep commitment to relational ethics, awareness of power, and social justice in the field of counseling.
I am committed to supporting LGBTQIA2S+and gender oppressed people of all ages. This includes femmes, cisgender and transgender women, bisexual people, queer, trans and non-binary folks of all genders, polyamorous people, people involved in BDSM cultures and communities, activists, organizers, artists, disabled folks, fat people, sensitive folks, and those who love us. This work is sacred to me. I have the utmost respect for those I work with. I hold clients with dedication, love and unwavering commitment.
I am warm, collaborative, engaged and rigorous in my work. I reserve a significant amount of time researching and consulting outside of session in order to offer the highest quality of care and supervision that I am able. I’m glad to tell you more about me when we have our initial phone consultation.
My Clinical Background
Over the past fifteen years I have worked clinically with parents, families and youth living at the intersections of multiple oppressions, youth with severe behavioral struggles, undocumented families, survivors, students and people living with severe anxiety and depression. I have been involved in various advocacy and organizing efforts in the local community.
Where I Come From
I am a white, mixed ethnicity, disabled, fat, genderqueer femme; a parent; a Jewish person whose ancestors are from the Middle East and Eastern and Southern Europe. I immigrated to the United States as a young person and am from a lineage of people shaped by war and colonization. Through this experience, I have learned a lot about holding contradiction, cultural humility, the effects of colonization, survival and resilience.
In consultation or therapy together, you are welcome to ask me about any of the above, or other aspects of my identity not listed here. I will let you know if I am available to share more, and we will talk about it together in the service of our work.
I am fluent in English, Spanish and Hebrew.
These days, I'm thinking about the impacts of the pandemic, rising fascism and climate crisis on LGBTQIA2S+ parents, youth and families and how we will meet the social, economic, political and climate challenges we are facing, collectively.
My credentials
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Licensed Marriage and Family Therapist: Oregon #T2358
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Master’s in Counseling Psychology from California Institute of Integral Studies
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Bachelor's in Women, Gender and Sexuality Studies from Harvard University
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Completed two Generative Somatics yearlong trainings in Somatics and Trauma
About
Where We Meet
Held Heart Healing is located in a beautiful, comfortable and light-filled space nestled in a garden in the Mount Tabor neighborhood in Southeast Portland. I will offer you tea and water when you arrive.
The office is wheelchair accessible. There is a gender neutral, single stall bathroom. Soap is scent free, and no other scented products are used in the space. The office does smell like cedar as a result of the cedar walls.
I also offer Telehealth sessions over Zoom, and in some circumstances will offer home visits.
Groups
Get in touch to register or for more information
LGBTQIA2S+ New Parent Support Group
Designed for parents with babies under 1 year of age. Parents are welcome to come to the group with or without their babies.
This is an ongoing, *in-person* support group in Southeast Portland. Sliding scale $30-60 per session out of pocket, nobody turned away for lack of funds.
We are creating a warm and welcoming community for new queer, trans and non-binary parents locally.
Pricing
I'm not in-network with insurance companies. I can provide regular superbills so that you can submit for reimbursement to your insurance company, if they offer out-of-network coverage.
I reserve a limited number of lower-fee, sliding scale spots for clients for whom the regular fee would pose serious financial hardship. Please be in touch if you would like to inquire about availability.
1 / Individual Therapy
$200 per 50 minute session
2 / Relationship Therapy
$240 per 60 minute session
3 / Coaching
$180 per 45 minute session
Clinical Supervision
Schedule a free consultation to learn more.
As a Clinical Supervisor I support new clinicians who work with youth, families, LGBTQIA2S+ communities, and across cultural lines to build a strong foundation in ethical, relational, and justice oriented clinical work. I am committed to and rigorous about the growth of the clinicians I work with. I am a good fit for you if you want to bring some vulnerability to your work, if you want to grow as a clinician, if you care very deeply about client well-being and ethics.
Contact
Schedule a free consultation to get started.
